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Emunas Bais Yaakov
4403 15th Ave Sts 535 • Brooklyn, NY 11219
Personal Information
Full Name
*
Address
Zip code
Phone Number
Email Address
Transaction Details
$
Amount
*
Pay Towards
Tuition
Donations/Dinner
EC/PTA
Memo
Repeated Payments
Ongoing
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3 Months
4 Months
5 Months
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10 Months
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36 Months
Credit Card Details
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*
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Emunas Bais Yaakov
4403 15th Ave Sts 535
Brooklyn, NY 11219
Tell: 929-312-4477
[response]
ID #[transid]
[created]
[cardholder]
$ [amount]
[cardtype] [ccnum4]
Authorization Number
[authcode]
AVS Response
[avsresult]
CVV response
[cvcresult]
[otherTransaction]